A standardized semistructured research interview for eliciting prodromal symptoms (3, 4) was administered to 30 recovered patients with bulimia nervosa (5). Most of the patients reported prodromal symptoms concerned with anxiety, depression, and irritability. Five of the 30 patients reported obsessive-compulsive symptoms according to a specified threshold. The study group included only patients who did not have comorbid axis I DSM-IV disorders. It is conceivable that the number of patients with obsessive-compulsive symptoms could have been higher in a more heterogeneous group. We postulated that the combination of subclinical affective symptoms and stressful life events may create an allostatic load prompting precipitation of bulimia nervosa. Risk factors, such as repeated exposure to negative comments about shape, weight, and eating, may further increase the vulnerability to this allostatic load, resulting in a chronic dissatisfaction with body image and an obsessive preoccupation with food (5). Prodromal symptoms may persist as residual symptoms while the most typical symptom profile abates (3, 4).